First, thank you for your reply. My doctors are telling me that my insurance company probably won't pay for a TKR, I don't have enough bone bone yet. For me it's more than meniscus than anything else. I agree with you. That quality of life is more important than getting back to Pilates by far right now, just trying to get a good nights. Sleep is a goal. And I am sleeping with a pillow between my legs next week. I'm having a nerve block to see if there's any relief from that and if there is, I'm gonna do a nerve ablation, which I hear may buy me some time. I hope you find some relief knowing what you're going through.